Li Tongkang asked a little strangely:

"Dean Chen, don't worry, every inch of the patient's skin is precious now, but why do you care about the two pieces of skin on your chest, is there anything special about this?"

Li Qi said casually while removing the gauze:

"The two pieces of skin on the chest, which are only the size of the palm, are the key to whether we can cure the patient this time, and now it seems that Ke Rongwei is not a big problem in saving his life under the treatment of the Vietnamese-Chinese formula and various imported medicines.

But the family's request is not only to save his life, but also not to disfigure the patient, and not to be able to see people in the future. Just like the two workers in the Vietnam Steel Mill, walking on the road in the middle of the night can scare 99% of the female comrades to death, and their quality of life will become extremely poor. ”

Ke Rongwei was awake at this time, and when he heard Chen Qi's words, although he felt sharp pain when he moved slightly, he still gritted his teeth and nodded vigorously.

Yang Xiuxiu, the little nurse next to her, shouted: "Look, the patient nodded." ”

"Trouble, see, the patient himself also has a strong request for plastic surgery, why I must keep the two pieces of skin on the chest, and the reason why I can't use them for other purposes is that there is a law for burn skin grafting, and you should also remember.

The thinner the skin, the faster the skin area heals, and the easier it is to survive the transplant, but the scar is relatively heavy after healing.

The thicker the skin, the slower the healing of the donor skin area, and the lower the success rate of the transplant, but the better the effect after successful transplantation, and the lighter the scarring.

This is the same as planting grass or planting trees, planting grass is simple, cut the turf like this, and immediately live with a piece of soil, but in the event of a natural disaster, the turf is damaged first.

On the contrary, it is more troublesome to plant trees, and when transplanting, you have to bring such a large lump of soil, and the survival rate of transplantation is also low, but once the transplantation is successful, it is firmly fixed there, and it will not lodging.

In particular, it is more difficult to transplant the jaw, neck and other moving parts, so we need to do skin flap transplantation, ensuring blood supply is a key to the success or failure of the operation, in addition to cartilage rhinoplasty, artificial eyes, etc., which are very troublesome surgeries. ”

Hearing Chen Qi talk about the difficulties of the operation, to be honest, everyone in the burn surgery department lost confidence a little.

In fact, the doctors in the Vietnag Hospital are at most the level of an ordinary burn doctor, but now the patient's request is "a general doctor in the department of repair and reconstruction and burn cosmetic surgery", which is a bit difficult.

In fact, Chen Qi didn't say it, because the patient was still awake and couldn't be treated as a fool.

Ke Rongwei's facial burns are uneven, which may be related to the fact that he covered his face with his hands at the moment of the fire, although he didn't cover it tightly, but in fact, the skin on his face can only be regarded as second-degree burns, and the serious ones are only facial features.

Second-degree burns can recover on their own as long as they are treated in time and properly cared for, which reduces the difficulty of plastic surgery.

It looked very, very serious before, because the clearance of the face was completed last, and the black eschar or dirt on the face was not cleaned much, and it looked as if the patient's entire head had been scorched.

But the doctor, ahem, said to the family that it must be more serious, so as to leave a way out for yourself.

Zhu Huoyan asked at this time: "Chen Qi, then how to safely treat the plan next." ”

Chen Qi thought for a moment and said:

"In this way, Mr. Zhu is responsible for the skin grafting of the torso and limbs, and uses stinky tofu skin grafting + allogeneic skin covering. I was responsible for the more difficult head and face burn repair and skin grafting, and this patient was estimated to take at least half a year from our hospital to be discharged. ”

"Oh yes," Chen Qi remembered something:

"That old left, you immediately report to the health department in the name of the medical department, and say that the patient will have to go through at least 12 surgeries, and it will take at least 30,000 milliliters, oh no, just say that it will require at least 50,000 milliliters of blood, and let them find a way to prepare."

Zhang Xing next to him exaggerated and exclaimed: "Boss, you are too ruthless!" NOW WE ONLY HAVE 5000CC OF BLOOD IN OUR BLOOD BANK. ”

Chen Qi also replied in a whisper in Vietnamese-Chinese:

"Of course we can't miss such a good opportunity, we have hostages in hand now, and we can completely coerce the Son of Heaven to order the princes, didn't the leader say that we should treat it at all costs, then let them help us get blood, so that we won't have to worry about using blood this year."

There was a chuckle in the room.

Everyone knows that blood is needed to rescue patients with extensive burns, but even for patients with more serious problems, a blood transfusion of hundreds or thousands of milliliters is enough at most.

As soon as Chen Qi opened his mouth, it was 50,000 milliliters, and the blood on an adult's body was only 5,000 milliliters, which shows that Chen Qi is ruthless.

Hearing that the dean was about to kill people again, many doctors began to get ready to move, and couldn't help but ask.

"Dean Chen, I heard that the Hong Kong boss donated 400 million Hong Kong dollars to our hospital in one go, how are you going to spend this money?"

400 million Hong Kong dollars, the People's Hospital has almost 1,800 employees, and if you divide it, you can get 220,000 yuan per person.

In 1990, when the per capita annual income was only one or two thousand yuan, 220,000 yuan was enough to make people crazy, Chen Qi didn't know, the 1,800 employees of the Vietnamese Traditional Chinese Medicine Hospital were destined to be sleepless this night.

"How?"

Chen Qi glanced up at the little doctor who was talking, and chuckled: "No matter how much you spend, it is impossible to divide the money to every employee." ”

"Ah~~~"

There was a voice of disappointment in the ward, the wealth was moving, and the huge amount of money could not be distributed, and everyone hoped for as much as they wanted, and the disappointment was as great as possible.

Chen Qi bowed his head to do the final debridement work before skin grafting, and said his thoughts:

"With this money, let's first tear down all our Vietnamese and traditional Chinese hospitals, rebuild them all, build an emergency center first, and then build a new intensive care unit (EICU), so that the emergency center will be perfect.

Let's build a new inpatient building, rebuild all the outpatient buildings, and my goal is to build the Viet Cong Hospital into the most advanced, beautiful and modern hospital in the country. ”

A little doctor worried:

"But we are already building twin buildings, there is no more vacant land, if we build a new building for the whole hospital, will we close the hospital for a few years?"

Chen Qi was speechless and said:

"Stupid, isn't there a workers' cultural palace next to our hospital, now that the state-owned factories have closed down, how can there be workers to entertain, I went to see it last time, and what dance halls, cinemas, and small theaters in it are about to close down, and there are few ghosts.

Let's ask the city government to give us this piece of land, demolish all the workers' cultural palaces, and build new outpatient buildings and inpatient buildings. ”

After listening to President Chen's new plan for the hospital, many doctors are looking forward to working in a modern hospital.

But some doctors grasped the key point in the words: "Dean Chen, what is the Experimental Research Building?" ”

"Don't you want to take the money? We have money, of course we have money, otherwise I won't be scolded by the staff as an iron rooster. But this money cannot be paid directly to employees, what is the difference between this and raising lazy people? We are a national medical marketization pilot, and we can't eat a big pot of rice.

At that time, we will open applications for scientific research projects, who want to make money, medical staff must engage in scientific research, apply for their own topics, and have results, that is, what level of journal will your paper be published in, and what kind of reward will be given.

I've thought about it, if you publish it in a top international journal, we will reward 100,000 yuan for an article, 50,000 yuan for publication in general international journals, and 5,000 to 500 yuan for publication in domestic medical journals. ”

"Wow, why is there so much difference between home and abroad?"

"Yes, yes, it's not easy to publish in domestic medical journals."

"A project may take a year or two to complete, and the benefits are too low."

Chen Qi snorted lightly:

"I don't like the lack of rewards for domestic papers, that's right, it's a mule or a horse, and you have to fight internationally, what is the level of domestic journals? Don't you know? It's okay if the level is low, the key is the shady inside, you really don't know? ”

As soon as Chen Qi's words came out, many people blushed.

To publish a paper in a top domestic journal, first of all, you must have a mountain or backer, unless you are a particularly significant medical breakthrough, it is impossible for the average author to publish at all.

It's quite easy to publish a paper in a domestic general medical journal, but, ahem, the account is given to the author, you know.

I don't understand, so let's line up slowly, when will it be my turn? Under investigation......

If Chen Qi wants to build the Vietnamese People's Hospital into a teaching hospital, in addition to being closely linked with Haidong Medical University, he wants to encourage employees to engage in scientific research projects.

However, employees are not encouraged to engage in projects in order to "cheat subsidies".

Cheating subsidies, messing up some messy projects, and then spending money to publish them in domestic medical journals, it looks beautiful on the surface, and the data will look good, a thriving and flowery look.

But this is all the emperor's new clothes, self-deception, and it is useful for the improvement of the strength of the hospital?

Chen Qi is different from other deans.

If other deans want to create political achievements, they must engage in these false tricks to make the report beautiful. What is the number of papers published by our institute in the country, the number of awards in the country, how many academician workstations have been established, how many master's and doctoral points and so on.

Chen Qi doesn't need this, and he doesn't want to be promoted and get rich, which makes no sense to him.

It's hard to say abroad, there is a sky outside the sky.

But at least in the domestic health system, who has more money than him? Ordinary people have so much money that they almost retire and lie flat.

Why didn't Chen Qi go abroad, why did he still fight in China, and he still lived in the old house at 77 Lu Xun Road.

That's because he had an idea:

On the premise that he has made a lot of money himself, he wants to build a world-class hospital and train a group of world-class doctors, so that Huaguo can have a place in the world's mainstream medical circle.

Ahem, that's a little bit of the main theme.

(End of chapter)